Newborns are highly susceptible to infection as a result of:

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Burns Pediatric Primary Care Test Bank Questions

Question 1 of 5

Newborns are highly susceptible to infection as a result of:

Correct Answer: B

Rationale: Newborns are highly susceptible to infection due to their diminished nonspecific and specific immunity. Nonspecific immunity includes physical barriers such as intact skin and mucous membranes, as well as components of the innate immune system like phagocytes and complement proteins. Specific immunity refers to the adaptive immune response involving B and T cells. In newborns, both these arms of the immune system are not fully developed or mature, leading to increased susceptibility to infections. Additionally, newborns have lower levels of immunoglobulins like IgA and IgM compared to adults, further contributing to their vulnerability to infections.

Question 2 of 5

Primary amenorrhea should be considered for any female adolescent who has not reached menarche by

Correct Answer: D

Rationale: Primary amenorrhea is suspected if menarche has not occurred by age 15 or within 3 years of thelarche.

Question 3 of 5

Baby Ellie is diagnosed with gastroesophageal reflux (GER); which of the following nursing diagnoses would be inappropriate?

Correct Answer: B

Rationale: Gastroesophageal reflux (GER) primarily involves issues with the digestive system, such as regurgitation of stomach contents into the esophagus. Impaired oral mucous membrane is not directly related to GER. The other nursing diagnoses are more relevant and applicable in a case of GER:

Question 4 of 5

By the age of 7 months, the infant is able to do all the following EXCEPT

Correct Answer: D

Rationale: Cruising typically occurs later, around 9-10 months.

Question 5 of 5

The MOST appropriate advice for a 4-year-old child visiting the outpatient department with excessive crying is

Correct Answer: B

Rationale: Further history may help differentiate normal behavior from developmental concerns.

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